Repeated warnings

Each one is a single concern, raised with the same organisation in two or more coroners' reports at least six months apart. Nemotron Super judged every match to be the same or a closely related hazard, and both quotes are checked word for word against the reports.

Organisation type

Ambulance service25 Commissioner6 Company or provider10 Local authority28 National body342 NHS body175 Police28 Prison or detention12 Other

Theme

Care homes28 Child deaths64 Custody and policing46 Drugs, alcohol and medication32 Emergency and community care46 Hospital care108 Mental health Products and workplaces9 Roads and rail53 Suicide197 Other11

Relation

Identical Closely related

Reports

3+ reports

More filters

Minimum confidence

0.80+0.90+

At least

5 reports 10 reports

Active:Other Mental health Closely related Clear all

5 chains, most recent report first. The order is by date only; there is no ranking of organisations.

Lack of multidisciplinary coordination of care
Northumberland · Other
3 reports · 3 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report
Correspondence not reaching medical staff
Croft Shifa Health Centre · Other
2 reports · 2 coroners
Closely relatedConfidence 0.90 · highNo published response to an earlier report
Lack of assistance for individuals with addictions and mental health difficulty
Change Grow Live · Other
3 reports · 3 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Lack of continuous family engagement in patient care
Northumberland · Other
2 reports · 2 coroners
Closely relatedConfidence 0.80 · moderateNo published response to an earlier report
Risk assessment not updated after formulation meeting
Tees · Other
2 reports · 2 coroners
Closely relatedConfidence 0.85 · highNo published response to an earlier report

All chains